Melissa L. Rudolph, DDS
NPI 1053541888ActiveIndividual· Dentist, Orthodontics and Dentofacial Orthopedics· Peoria, AZ
Dentist, Orthodontics and Dentofacial Orthopedics (DDS) in Peoria, Arizona, licensed in AZ and TX, with an NPI issued in July 2009.
Overview
| NPI | 1053541888 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jul 14, 2009 |
| Last updated in NPPES | Aug 5, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | D8372 | AZ |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 26166 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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